Tullahoma Police Department - Registration Form

Records Section
201 W. Grundy Street
Tullahoma, TN 37388

INSTRUCTIONS: Complete a separate application for each address needing a permit. Electronic Filing: Complete all application items. Click the "Send" button at bottom of form.
There is no fee associated with Registration.

Alarmed Location

ResidenceBusiness

Resident Name or Business Name(required)

Address(required) Apt#:

City(required)

State(required)

Zip(required)

Name of Registering Party

Name(required)

Address(required) Apt#:

City(required)

State(required)

Zip(required)

Phone 1 (required)

Phone 2

Phone 3

Your Email

Additional Information

Audible OnlyAudible + DialerDialer Only

Registration Date

Special Conditions/HazardsPhysical DisabilityHazardous LocationOther:

Company that Monitors Alarm

Name

Phone

I understand that, in accordance with City of Tullahoma Alarm Systems Ordinance title 20 chapter 9, applicant is
financially responsible for all charges specified in this section. Title 20 Chapter 9

*NOTE: If information provided in application changes, please notify the Tullahoma Police Department within ten (10) working days
*Email will be used only for correspondence between Tullahoma Police Department and Registering Party.